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General NPI Number Information
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NPI Number | 1548673544
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Entity Type | Organization
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Legal Business Name | THE MOVEMENT CLINIC LLC
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 7100 BALTIMORE AVE SUITE 207
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3627
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Country | US
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Telephone | 240-328-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 3712 PERRY ST
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City | BRENTWOOD
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State | MD
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Zip | 20722-1713
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Country | US
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Telephone | 240-328-8415
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | JUTTA BRETTSCHNEIDER
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Credential | MS
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Telephone | 240-328-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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